Medical flights become necessary when critical care patients need transporting to new facilities. There are two types of companies in the air ambulance industry. There are providers and brokers. The brokers work as middlemen who take the infomation and sell the trip and contract with providers who actually fly the patient. It's important to call a provider directly because it reduces the chances of miscommunication and medical errors, and will save you thousands of dollars. Recently, in Buffalo, NY, a man needed some heart surgery that could only be done in Houston. He was transported by Res-Q-Jets for thousands of dollars cheaper than the broker quotes. Flying on a first class aircraft makes a huge difference when flying across the country. Some of the primary differences of aircraft are the amount of passengers, and carry on luggage, and enclosed bathrooms. The Westwind has all of these features, and very few air ambulance companies have these features. For shorter trips a smaller plane might be worth the savings, but on a longer trip if you add in the cost of additional travelers it makes more sense to fly in a Westwind aircraft. The best way to figure out what is the right solution for your specific circumstances is to call Res-Q-Jets and consult with one of their flight coordinators .